Barrios V, Escobar C, Pallares V, Egocheaga M I, Lobos J M, Bover R, Gómez Doblas J J, Cosín J
Servicio de Cardiología, Hospital Ramón y Cajal, Madrid, España.
Servicio de Cardiología, Hospital La Paz, Madrid, España.
Semergen. 2018 Nov-Dec;44(8):572-578. doi: 10.1016/j.semerg.2018.02.006. Epub 2018 Mar 26.
Despite current treatments, morbidity and mortality of patients with heart failure remain high. The late diagnosis of heart failure, the insufficient heart failure treatment (i.e. not using the appropriate drugs, prescribing lower doses of drugs than recommended, etc.), and a poor coordination between different health care levels, may explain, at least in part, these figures. The Management of Heart Failure in Cardiology and Primary Care (MICCAP) program has been developed with the aim of optimising the integrated management of patients with heart failure between Primary Care and Cardiology, through the improvement of coordination between both health care levels. This includes continuous medical education to reinforce the diagnostic and therapeutic skills of general practitioners in the field of heart failure. The rationale and objectives of the MICCAP program are summarised in this article.
尽管有当前的治疗方法，但心力衰竭患者的发病率和死亡率仍然很高。心力衰竭的晚期诊断、心力衰竭治疗不足（即未使用适当药物、开出的药物剂量低于推荐剂量等）以及不同医疗保健层级之间协调不佳，可能至少部分地解释了这些数据。心脏病学与初级保健中的心力衰竭管理（MICCAP）项目的开展旨在通过改善两个医疗保健层级之间的协调，优化初级保健和心脏病学之间心力衰竭患者的综合管理。这包括持续医学教育，以增强全科医生在心力衰竭领域的诊断和治疗技能。本文总结了MICCAP项目的基本原理和目标。
